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2. Full Name*
3. Artist/Performer/Group Name*
5. Contact Phone Number*
6. Contact Email*
7. Website URL
9. Type of Performance*
11. Number of Members*
12. What is your artist fee range based on a 45 minute and 1 hour performance?*
14. Why do you want to be part of the City of Coquitlam, Arts and Culture Entertainment Program?*
16. How will you contribute to the enhancement of the Coquitlam Festival and Event season?*
18. Collection & Use of Personal Information

    I understand that the personal information on this form is collected by the City of Coquitlam for the purposes of the Arts and Culture Entertainment Program, under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act. Successful applicants will have their name publicized as part of the promotion of the associated event. If you have any questions about the collection of information, please contact Karen Basi - City of Coquitlam, Parks Recreation and Culture at 604-927-6962.

    1. I consent
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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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